KELSEY PHYLICIA KING

WATERLOO, IA
NPI1578093860
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA  T17072)
Enumeration Date2017-06-19
Last Update Date2022-09-28
Business Address
KELSEY PHYLICIA KING T-CADC, BA
623 KINGSLEY AVE
WATERLOO, IA 50701-2957
Phone number: 193-429-8989
Mailing Address
KELSEY PHYLICIA KING T-CADC, BA
1609 LILAC LN
CEDAR FALLS, IA 50613-5313
Phone number: 319-429-8989